Application Form - Malaysian Society for Quality in Health

Becoming a member of the MSQH
We are proud to welcome a broad range of members from Malaysia and around the world across healthcare area.

Important:

Guideline for Applicant: Click here
MSQH is now offer a faster, safer online payment gateway experience via SENANGPAY

Email Address ^*

First Name ^*

Last Name ^*

Professional Title ^*

Company Name ^*

Birth Date

Address Details

Photo

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City

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Phone

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Profile Visibility

Settings

Education Section visibility to Other Members

Settings

Receive Private Messages from Other Members

Settings

Work Section visibility to Other Members

Type

Membership Plan

Membership Plans

I accept terms of use and privacy policy.

By submitting this form, I/We hereby agree that MSQH may collect, obtain, store and process my/our Personal Data that I/We provide in this form for the purpose as described in this form and/or for receiving updates, news, promotional and marketing mails or material

I/We hereby give my consent to you to store and process my/our Personal Data and disclose my/our Personal Data to the relevant governmental authorities or third parties where required by law and/or for legal and administration purposes and I/We wish to submit the application for MSQH Membership